Individual provider Active NPI

Gracelyn T Ladelfa, LMT, NCTMB

  • Specialist
  • Rochester, NY
National Provider Identifier
1902855018
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
012708-1 Issued in NY
Practice address
39 N Goodman St
Rochester, NY 14607-1501
Phone
(585) 764-4325
NPI assigned
May 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 012708-1 NY Primary

Addresses

Primary practice location

39 N Goodman St
Rochester, NY 14607-1501

Mailing address

49 Crosman Ter
Rochester, NY 14620-1827
Phone (585) 473-6447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
012708-1NYMDSpecialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1902855018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 CROSMAN TER",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146201827",
            "telephone_number": "585-473-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 N GOODMAN ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146071501",
            "telephone_number": "585-764-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADELFA",
        "first_name": "GRACELYN",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "LMT, NCTMB",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "012708-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.